Cranial Computed Tomography in the Abused Child with Head Injury
Autor: | Richard B. Towbin, Robert A. Kaufman, Patricia A. Myers, Ronald A. Cohen |
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Jazyk: | angličtina |
Rok vydání: | 1985 |
Předmět: |
Child abuse
Male medicine.medical_specialty Subarachnoid hemorrhage Time Factors Poison control Brain Edema Cerebral edema Hematoma Skull fracture medicine Craniocerebral Trauma Humans Radiology Nuclear Medicine and imaging Child Abuse Child Cerebral Hemorrhage Ultrasonography Skull Fractures business.industry Head injury Infant Newborn Infant General Medicine Articles medicine.disease Surgery Skull medicine.anatomical_structure Child Preschool Female business Tomography X-Ray Computed Follow-Up Studies |
Zdroj: | AJNR Am J Neuroradiol |
Popis: | Cranial computed tomographic (CT) findings are described in 37 children with head injuries resulting from physical abuse. CT findings included subarachnoid hemorrhage (27 patients), cerebral edema (24), cerebral hemorrhage (11), and subdural hematoma (nine). Intravenous contrast material was administered in 10 children in whom there were neurologic symptoms or signs but no history or physical signs of trauma or abuse. In five of these children, increased vascularity was seen in areas that later showed infarction. Eight children were studied by both CT and sonography. Sonography detected 50% fewer abnormalities than did CT. It was found that children with skull fracture had the same range of injuries as children without fracture, and they had a higher incidence of subarachnoid hemorrhage. In acutely traumatized children, cranial CT should be the method of choice to provide the most accurate diagnosis and documentation of injury. Skull radiographs should also be obtained because they sometimes show fractures not recognized by CT. |
Databáze: | OpenAIRE |
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